Skip to content

IEMbase 0762: DDHD2-related phosphatidic acid-preferring phospholipase 2 deficiency

Scope

Field Value
IEMbase ID 762
Nosology 14.5.01.11
Nosology code IEM0671
Gene DDHD2
External IDs OMIM:609340; ORPHA:320380
Generated mapping UNMAPPED; weak candidate ALDH18A1_De_Barsy_Spectrum.yaml
Candidate DisMech targets None exact
Review date 2026-07-08

IEMbase phenotype signal

IEMbase labels this autosomal recessive record as DDHD2-related phosphatidic acid-preferring phospholipase 2 deficiency, with alternate name autosomal recessive spastic paraplegia type 54. The phenotype rows describe a childhood through adult neurodevelopmental and motor syndrome: developmental delay, behavioral disorder, microcephaly, spastic paraparesis, pyramidal signs, bulbar dysfunction, abnormal eye movements, brainstem atrophy, cerebellar atrophy, cerebellar white matter abnormalities, corpus callosum hypoplasia, and syrinx.

DisMech phenotype coverage

No exact DDHD2 / SPG54 entry is present locally. The generated ALDH18A1_De_Barsy_Spectrum.yaml candidate is a false positive. That entry models ALDH18A1 / P5CS deficiency with SPG9A/SPG9B and neurocutaneous disease, not DDHD2 phospholipase deficiency or SPG54.

Concordance and completeness

Judgement: true local gap.

The IEMbase record should be curated as a distinct DDHD2 hereditary spastic paraplegia entity. The local ALDH18A1 entry shares broad spastic-paraplegia vocabulary but has different gene, biochemical mechanism, subtype identity, and expected amino-acid metabolism context.

Curation actions

  • Add a distinct DDHD2 / autosomal recessive spastic paraplegia type 54 target before treating this record as covered.
  • Reject ALDH18A1_De_Barsy_Spectrum.yaml as exact coverage.
  • Review the duplicated OMIM value in the local IEMbase cache before modeling identifiers, because the source record repeats the DDHD1 OMIM value.